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GEETHA BALAMURUGAND.D.S.P.C. NPI 1275735185


NPI Information

NPI: 1275735185
Provider Name: GEETHA BALAMURUGAN,D.D.S.,P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
116 BROADWAY
AMITYVILLE, NY
ZIP 11701
Phone: (631) 264-2610
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GEETHA BALAMURUGAN,D.D.S.,P.C. is a general practice dentist in Amityville, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GEETHA BALAMURUGAN,D.D.S.,P.C. NPI is 1275735185. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

116 BROADWAY
AMITYVILLE, NY
ZIP 11701-797
Phone: (631) 264-2610
Fax: (631) 264-2612

The provider's authorized official is Geetha Balamurugan .
The authorized official title is President and has the following contact phone number (631) 264-2610.

The enumeration date for this NPI number is 6/3/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice049539-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102249278MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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